MCQ (day 7)

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MCQ (day 7)

Topic 9. Sudden cardiac arrest. The principles of cardiopulmonary resuscitation

Topic 12. Arrhythmias

Topic 13. Acute heart failure (left and right ventricular) and acute vascular failure

Name *

Group/ dozen *

A patient L., 55, complains of severe paroxysmal pain in the jaw, which appeared 1,5 weeks ago and lasted for 5-20 mins. Over the time the pain became more frequent, up to 10 times per day. The intake of pain-killers and spasmolytic agents didn’t have any effect; however, the condition was alleviated by the intake of 3 pills of nitroglycerine. Which diagnosis is most likely?
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1 point

Myocardial infarction

Angina pectoris

Osteomyelitis of the jaw

Neuralgia of the N. trigeminus

Pericarditis

During a dental intervention a patient lost consciousness. His dentist decided he fainted and started looking for ammonia. Meanwhile the patient died. How can one rapidly and reliably tell syncope from sudden heart arrest?
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1 point

Check for the pain response

Evaluate the color of the skin

Check for pulse on the radial artery

Check the pupil reaction to light

Check for pulse on the carotid artery

How long can you spend checking for breathing in the casualty (minimally)?
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1 point

1 second

20-30 seconds

3 seconds

15-20 seconds

5-10 seconds

If you are alone and have found a person who may require CPR (cardiopulmonary resuscitation), the first thing to do is to:
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1 point

find a defibrillator

ensure the place is safe

go for epinephrine

activate emergency response system

begin CPR

One of the risk factors for ischemic heart disease is
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1 point

Rheumatoid arthritis

Diabetes mellitus

Liver cirrhosis

Peptic ulcer disease

Thyrotoxicosis

The correct order of the resuscitation measures (in adults):
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1 point

ventilation, airway management, compressions

compressions, ventilation, airway management

ventilation, compressions, airway management

airway management, ventilation, compressions

compressions, airway management, ventilation

The rate of chest compressions during cardiopulmonary resuscitation in adults should be:
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1 point

No fewer than 120 per minute

60 - 90 per minute

No fewer than 90 per minute

No fewer than 80 per minute

100 to 120 per minute

When performing CPR an attempt to ventilate lungs with a CRP barrier mask results in the casualty having cheek inflated and exhibiting no chest excursions. What should one do?
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1 point

Continue until the chest excursions are seen

Continue CPR without changes

Leave the casualty in search of a new resuscitator

Check/manage the airway

All wrong

Which changes on ECG are characteristic for myocardial infarction?
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1 point

Low P-wave amplitude

Pathologic Q waves

Concordant ST-segment elevation

Presence of bradycardia

Absence of arrhythmia

Which sign of angina pectoris might indicate the onset of myocardial infarction?
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1 point

Duration of retrosternal chest pain of more than 20 mins

Irradiation of the pain to the left arm

Fear of death

The pain is relieved by nitroglycerine

The patient’s opinion

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